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Montgomery County Maryland
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Administration Sets 

Administration sets carry the IV fluid from the IV bag to the IV catheter, which is inserted into one of the patient's veins. Administration sets provide fluids in larger volume (macro-drip) or in very small volume (micro-drip or mini-drip). The tubing is approximately 6 feet long.

NOTE: Not all administration sets have a slide clamp

Large volume sets (macro-drip) usually deliver fluid at a rate of 10 or 15 drops per milliliter. These are used for fluid replacement and the infusion of whole blood or blood products. Among their many uses, you will find them used on trauma patients and dehydrated patients. The normal KVO (keep vein open) rate for an IV is 1 ml/minute. So a 10-drop set would be 10 drops per minute, or 1 drop every 6 seconds. A 15 drop set require 15 drops/minute or 1 drop every 4 seconds.

Mini-drip sets deliver at a rate of 60 drops per milliliter. They can often be identified by the small, metal tube inside the drip chamber, although manufacturers conceal this tube in the upper end of the chamber. There may also be the number "60" stamped on one of the 'wings' at the top of the chamber, indicating that it is a 60 drop/ml administration set.

Because of their low flow rates, mini-drips are well suited for precise medication administration where a medication is injected into the IV bag, then infused via IV drip over an extended period of time. Since a mini-drip set needs 60 drops to deliver 1 ml of fluid, the KVO flow rate would be 1 drop every second to deliver 1ml/minute.

You may also find an extension set or a 3- or 4- way stopcock valve extension set used to 'piggyback' IVs or administer medications directly into the IV tubing, rather than the bag, via IV push.
COPYRIGHT 2004
MONTGOMERY COUNTY DIVISION OF FIRE RESCUE SERVICES
MONTGOMERY COUNTY FRE RESCUE TRAINING ACADEMY
Last edited: 9/24/2004